| NPI | 1457796344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 67194-21) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101020393) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2017-06-19 |